Middle East Crisis: Israel Agrees to Staggered Pauses in Fighting to Allow for Polio Vaccination, U.N. Says
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Israel has emphasized the move is not the first step to a cease-fire.
Starting this weekend, Israel will pause military operations in a staggered schedule across Gaza to allow health workers to give polio vaccinations to about 640,000 children under the age of 10, U.N. officials said on Thursday.
The agreement calls for vaccinations to begin on Sunday in central Gaza and to continue for three days, said Rik Peeperkorn, the World Health Organization’s top representative in Gaza. Israel’s offensive will be temporarily suspended from 6 a.m. to 3 p.m. in a designated area while the vaccines are being administered, he said.
After that, children in southern Gaza will be vaccinated during another three-day pause, and later there will be a third three-day pause in northern Gaza, Mr. Peeperkorn told journalists.
“I think this is a way forward,” Mr. Peeperkorn said. “I’m not going to say this is the ideal way forward, but this is a workable way forward. Not doing anything would be really bad. We have to stop this transmission in Gaza, and we have to avoid the transmission outside Gaza.”
Two Israeli officials, speaking on the condition of anonymity because they were not authorized to communicate with the media, confirmed the government had agreed to pauses in fighting for several hours at a time in specific areas where the vaccines will be distributed. The rollout of the vaccine distribution will be staggered, starting with the central region of Gaza before transitioning to other parts of the territory, one of the officials said.
Mr. Peeperkorn said that based on W.H.O.’s experience with similar campaigns elsewhere the three days might not be enough to achieve adequate vaccination. He said it was it “critical” that 90 percent of Gaza’s children be immunized “to stop the outbreak.”
Israel has made it clear that this is not the first step to a cease-fire and that fighting will not be halted across the Gaza Strip, rather that there will be limited pauses in certain locations to allow for the vaccinations.
“This is not a cease-fire,” the Israeli prime minister’s office said in a statement on Wednesday night in response to news reports saying there was an agreement on pauses. The statement emphasized the limited nature of the agreement.
Israel has been under intense pressure from world heath authorities to address the emergence of polio in Gaza since the virus was found in wastewater in July. The U.N. secretary general, António Guterres, called on Aug. 16 for a temporary two-week truce for vaccinations, just hours before the Gaza health authorities announced the confirmation of the first case of the disease in the area in 25 years.
The W.H.O. has secured 1.26 million doses of vaccines from Indonesia to protect recipients from poliovirus type-2, which arrived in Gaza this week, days after the W.H.O. announced that a 10-month-old boy was diagnosed with that strain of the disease in Gaza.
Type 2 polio was eradicated in most parts of the world in the 1990s, but aid officials have said that the severely unsanitary conditions in Gaza during Israel’s 10-month war against Hamas, combined with deteriorating health services, have created an environment in which even rare diseases can spread.
The vast majority of children in Gaza — as many as 95 percent — have been vaccinated for two other kinds of polio that are part of routine immunizations around the world, officials said.
More than 2,100 health and community outreach workers are expected to help administer the doses at several hundred sites across Gaza, which consist of a drop or two of vaccine taken orally. The vaccine must be followed up with a booster four weeks later, and Mr. Peeperkorn said the agreement announced on Thursday cleared the path for that to happen as well. “We expect that all parties will stick to that,” he said.
He also left open the possibility that the pause that starts on Sunday in central Gaza could be extended by a day or so if needed. And there will be no ordered evacuations by Israel during the pauses, which Mr. Peeperkorn defined as lasting from early morning until mid-afternoon and safe enough for children and the families, as well as health workers, to move around without fear of casualties.
Adam Rasgon and Aaron Boxermancontributed reporting.
Key Developments
Hostages’ relatives protest at the Gaza border, and other news.
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Relatives of Israeli hostages rushed toward the Gaza border on Thursday before turning back at the request of Israeli security forces, a group representing the families said in a statement. In their latest high-profile protest demanding a cease-fire deal, hostages’ family members stood near the border and used loudspeakers to call out to their loved ones being held in Gaza, before some in the group “broke through the fence” and ran toward the border “in a desperate attempt to get as close as possible to their relatives,” said the statement from the Hostages Families Forum. The Israeli government says that 107 hostages abducted during the Hamas-led Oct. 7 attacks are still being held in Gaza — though more than two dozen of them are believed to be dead — after Israeli soldiers rescued one captive this week.
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Israel told the United States it blamed “a communications error” between military units for an incident on Tuesday in which Israeli troops fired at a World Food Program vehicle, Robert Wood, a U.S. representative to the United Nations, told a U.N. Security Council meeting on Thursday. “We have urged them to immediately rectify the issues within their system that allowed this to happen,” Mr. Wood said, adding that “the simple fact is, almost eleven months into this conflict,” such incidents “remain all too common.” The World Food Program said on Wednesday that it was suspending staff movement in the Gaza Strip because of the shooting, noting that it was a marked car, which had obtained the necessary security clearances. No staff members were hurt.
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The Israeli military on Thursday accused Hamas of engaging in an effort to skew poll results to show more support in Gaza for the group after the Oct. 7 attack on Israel than really existed. The military said troops found documents in Gaza showing that Hamas had falsified “true results to favor the organization and its leaders” and “to create a false impression of widespread support” for the Oct. 7 attack. No evidence was found, however, that the Palestinian Center for Policy and Survey Research, which conducts the polls, was involved in the “covert” data falsification, the military said. Khalil Shikaki, a political scientist who directs the center, said in a statement on Thursday that he viewed the accusation “as part of the war over narratives that the army is waging against Hamas.” He added that the center would investigate the claims “as part of its commitment to ensure full quality control over its data collection process.”
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Negotiators working on a cease-fire deal in Gaza are “bearing down on the details,” said President Biden’s national security adviser, Jake Sullivan, describing tentative progress in the monthslong talks. Speaking to reporters in Beijing at the end of an official visit, Mr. Sullivan said Thursday that the mediators “have advanced the discussions to a point where it’s in the nitty gritty, and that is a positive sign of progress, but at the end of the day, nothing is done until it is done.” Officials from the United States, Egypt and Qatar have been holding meetings in Cairo to discuss details of a Biden administration proposal to bridge the gaps between Israel and Hamas.
Palestinian militants confirm the death of a commander, as the toll in Israel’s raids rises to 17.
The Israeli military battled Palestinian militants in the occupied West Bank for a second straight day on Thursday, killing at least five, including a young militant commander it said was responsible for attacks against Israeli civilians.
The commander, Muhammad Jaber, was killed in the city of Tulkarm, a focal point of the raids that are Israel’s biggest military operation in the West Bank in more than a year. Mr. Jaber, who was in his mid-20s, led the local branch of the militant group Palestinian Islamic Jihad, which confirmed his death.
Wafa, the Palestinian Authority’s official news agency, said 17 people had been killed in raids across the West Bank that began before dawn on Wednesday, without specifying whether any were militants. The Israel military said that 16 militants had been killed.
Israel has been fighting on three fronts since fending off the Oct. 7 Hamas-led assault mounted from Gaza. In addition to the full-fledged war in Gaza, there are lower-level but escalating conflicts with militant groups in the West Bank, and across the border of Lebanon with Hezbollah.
In the West Bank, where about 3 million Palestinians live under Israeli occupation, more than 600 Palestinians have been killed since Oct. 7, both by the Israeli military and by extremist Jewish settlers, according to the United Nations.
Residents of Tulkarm and the surrounding area on Thursday described another difficult day of hunkering down indoors, with internet and telephone services down, many friends and family members unreachable and the streets watched over by Israeli snipers perched on rooftops.
Israeli bulldozers ripped up roads to unearth improvised explosive devices, and troops searched people’s homes, residents said. The Israeli military has said it raids homes to search for suspects and weapons, or to use them as lookout points.
The Israeli military has sent hundreds of troops, backed by drones, into the cities of Tulkarm and Jenin, and surrounding areas, in what officials described as an operation targeting militant strongholds. Israeli officials have told the United States that the operation was likely to last at least through Friday, a senior U.S. official said. It was not clear whether the United States received advance warning of the operation.
Explosions were heard on Thursday in Jenin, where Israeli troops were operating in the eastern part of the city, Wafa reported. The Palestinian Red Crescent said that it had lost contact with the emergency medical services there.
Mohammad Al-Sayed, a member of the Jenin city council, said that most communications there were down and that movement on the street was being prevented. “The situation is very dangerous, everyone is afraid,” he said.
Riyad Awad, the head of the city council in Tulkarm, said that parts of the city — and all of Nur Shams — were without water and sewage service.
The circumstances of the deaths in Tulkarm on Thursday morning were not completely clear, with differing accounts that The New York Times could not independently verify.
Lt. Col. Nadav Shoshani, an Israeli military spokesman, said Mr. Jaber and four other militants were exchanging fire with the Israeli military from within a mosque and near a mosque before they were killed.
In its statement, Islamic Jihad said Mr. Jaber had been killed after a “heroic confrontation” with Israeli forces. Its local branch in Tulkarm said in a separate statement that after Mr. Jaber had been killed, its fighters detonated an explosive device and shot at Israeli forces, causing “direct injuries.”
Faisal Salameh, a municipal official in Tulkarm, said that Mr. Jaber and the others had been killed in a strike around 5 a.m. while hiding in a home next to a mosque. He said Israeli forces took Mr. Jabr’s body, along with two other bodies, and detained a man whose leg had been broken.
In addition to his role with Islamic Jihad, an ally of Hamas, Mr. Jaber also led a loose collective of militants in the part of Tulkarm that originated as a refugee camp. The Israeli military accused him of being involved in “numerous terror attacks,” including the murder of an Israeli civilian in June.
Mr. Jaber — whose nom de guerre, Abu Shujaa, means Father of the Brave — gained a kind of cult status in April, when the Israeli military said it had killed him during a raid on Tulkarm. Three days later, he emerged alive at the funeral of others killed during that raid, to joyous shouts from residents.
Gheith Shawesh, a 17-year-old resident of the Nur Shams neighborhood near Tulkarm, lamented Mr. Jaber’s death, saying that people across the West Bank were “angry and sad” about his killing.
He called the raid the “most aggressive” there in years. He said that Israeli forces were blowing off the doors of homes and searching them, rounding up suspects and holding them in seized shops, and cutting up the tarps that hang over some alleyways, concealing militants from Israeli drones.
Rami Nazzal and Adam Rasgon in Jerusalem and Eric Schmitt in Washington contributed reporting.
What is Palestinian Islamic Jihad?
Israel’s killing of a young commander of the local branch of Palestinian Islamic Jihad in the West Bank city of Tulkarm is shining a spotlight on the group.
Here’s a closer look.
What is Palestinian Islamic Jihad?
Formally titled the Islamic Jihad Movement in Palestine, the group was founded in the Gaza Strip in the 1980s to fight the Israeli occupation. It has a presence in both Gaza and the West Bank, and dominates the part of Tulkarm that was founded as a refugee camp for Palestinians displaced in the wars surrounding the foundation of Israel.
Like Hamas, it is a Sunni Muslim group, though far smaller. And also like Hamas, the group receives funding and weapons from Shiite Muslim Iran, according to the U.S. State Department, in pursuit of their shared anti-Israel ideology. Israel, the United States and the European Union consider both groups to be terrorist organizations.
The U.S. Counterterrorism Center says Palestinian Islamic Jihad has also received support from Syria and Hezbollah in Lebanon.
The U.S. State Department in 2022 put the group’s membership between 1,000 and several thousand.
Who heads the organization?
Ziyad al-Nakhalah has led the group’s leadership council since 2018. Mr. al-Nakhalah was staying in a guesthouse room next to Ismail Haniyeh, formerly a top leader of Hamas, when Mr. Haniyeh was assassinated earlier this month by a bomb in Tehran.
What is its mission and philosophy?
According to the Council on Foreign Relations, the group “wants to reestablish a sovereign, Islamic Palestinian state,” and views “the Arab-Israel conflict as an ideological war, not a territorial dispute.” Palestinian Islamic Jihad opposes a two-state solution.
While the group holds less sway than Hamas, experts say the group is more extreme in ideology. “Historically, they’ve had a top-down view of establishing an Islamic state,” said Daniel Byman, a counterterrorism specialist at Georgetown University. “You grab power, and then you force people to be good Muslims, as opposed to teaching.”
What is the relationship between Palestinian Islamic Jihad and Hamas?
The two are sometimes allied but operate independently: Islamic Jihad focuses on military attacks and has far fewer political and social institutions than Hamas, which won elections in Gaza in 2006, drove its rivals out of the territory the following year and has ruled there since.
The groups have typically cooperated in their opposition to Israel, but tensions have arisen at times when Hamas has put pressure on Palestinian Islamic Jihad to stop attacks against Israel, experts said. Unlike other militant Palestinian groups, Islamic Jihad has been reluctant to engage in negotiations or be part of a diplomatic solution to the current war with Israel.
Did Palestinian Islamic Jihad play a role in the Oct. 7 attacks?
Yes, the group claimed responsibility for some of the attacks, and a United Nations report published in June said the group had taken part in the violence on Oct. 7.
The report specified that Palestinian Islamic Jihad had participated in these episodes:
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An attack on Kibbutz Be’eri, where more than 100 people were killed and about 30 were abducted.
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An attack on Kibbutz Nir Or, which left more than 45 dead and saw more than 70 abducted.
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Attacks on military bases, including the Nahal Oz outpost, where 66 soldiers were killed.
What are other notable attacks involving Palestinian Islamic Jihad?
The group has attacked both military and civilian targets. In over a three-day span in August 2022, the group launched over 1,000 rockets at Israel in a deadly clash that ended in a cease-fire brokered by Egypt.
U.S. and Israeli intelligence officials also blamed an errant rocket fired by the group for an explosion at Al-Ahli Arab Hospital in Gaza City last October that killed scores of people.
What military capabilities does the group have?
Palestinian Islamic Jihad’s military wing, Al Quds Brigade, has been carrying out small-scale attacks since at least the late 1980s. It conducted suicide bombings over decades, and more recently has used small arms, rockets and mortars against Israel. Mr. Byman said that Palestinian Islamic Jihad tended “to be relatively low-level in terms of technology and in terms of the size of their arsenals.”
The Times recently interviewed Muhammad Jaber, the militant leader just killed by Israel.
Steven Erlanger, the chief diplomatic correspondent for The New York Times, traveled to the West Bank earlier this year. While there, he interviewed Muhammad Jaber, known as Abu Shujaa, a militant commander who was killed by Israeli forces on Thursday morning. Here are excerpts from his article, published in July.
The alleys are cast in permanent semidarkness, covered by black nylon tarpaulins to hide the Palestinian fighters there from Israeli drones overhead. Green Hamas flags and banners commemorating “martyrs” hang from the buildings, many badly damaged during Israeli raids and airstrikes to try to tamp down a growing militancy in the territory.
This is not Gaza or a traditional Hamas stronghold. It is a refugee camp in Tulkarm, a town in the Israeli-occupied West Bank, where the relatively moderate Palestinian faction of Fatah had long held sway.
I recently met a local commander of these young militants, Muhammad Jaber, 25, in one of those dusty, shattered alleyways. One of Israel’s most wanted men, he and other fighters like him say they have switched allegiances from the relatively moderate Fatah faction, which dominates the Israeli-occupied West Bank, to more radical groups like Hamas and Palestinian Islamic Jihad since the Hamas-led attack on Israel on Oct. 7.
Asked what lesson he had taken from the war in Gaza, Mr. Jaber paused for a moment to think.
“Patience,” he said. “And strength. And courage.”
Mr. Jaber, widely known by his nom de guerre, Abu Shujaa, meaning Father of the Brave, commands the local branch of Islamic Jihad, which dominates the Tulkarm camp. He also leads a collective of all the militant factions in that area, including the Aqsa Martyrs Brigade there, which is known as the Khatiba. He switched from Fatah, he said, because it was Islamic Jihad and Hamas who were taking the fight to Israel to end the occupation and create Palestine by force of arms.
Mr. Jaber gained a kind of cult status in the spring when the Israeli military announced that it had killed him during a raid on the Tulkarm camp. Three days later, he emerged alive at the funeral of other Palestinians killed during that same raid, to joyous shouts from camp residents.
We met in an alley with streets stripped to sand by Israeli bulldozers, before ducking into a storefront to avoid being sighted by drones. Thin and bearded, wearing a black Hugo Boss T-shirt and a Sig Sauer pistol on his hip, Mr. Jaber was watched by six bodyguards. Some were armed with M16 and M4 rifles with full magazines and optical sights.
W.F.P. says it is pausing aid deliveries in Gaza after its workers were attacked.
The World Food Program said it is suspending deliveries of aid in Gaza after one of its humanitarian teams was hit by gunfire this week as it approached an Israeli military checkpoint.
In a statement, the United Nations agency said none of its employees were injured during the shooting on Tuesday night, which occurred after a convoy of its trucks had delivered assistance to central Gaza. The agency said one of its vehicles had been hit by 10 bullets — five on the driver’s side — a few yards from the Israeli security post at the Wadi Gaza bridge.
The statement did not assign responsibility for the shooting, but it said Tuesday’s attack was not the first time a W.F.P. team had come under attack while nearing an Israeli checkpoint in Gaza — even after receiving permission to approach. As a result, it said it was “pausing the movement of its employees in Gaza until further notice.”
“This is totally unacceptable and the latest in a series of unnecessary security incidents that have endangered the lives of W.F.P.’s team in Gaza,” Cindy McCain, the agency’s executive director, said in the statement, which was released Wednesday.
She demanded that Israeli officials take immediate action to ensure the safety of humanitarian workers delivering aid in Gaza and to improve the system by which aid agencies coordinate their movements with Israeli forces. “The current de-confliction system is failing, and this cannot go on any longer,” Ms. McCain said.
The Israeli military said in a statement on Wednesday that the incident was “under review” and that “Israel is committed to improve coordination and security with humanitarian organizations to ensure the effective delivery of aid within the Gaza Strip.”
Earlier this week, the agency’s main operating hub in Deir al Balah, in the central part of the territory, had to relocate after the Israeli military issued an evacuation order for the area. Last week, amid ongoing Israeli military operations, five W.F.P. community kitchens were evacuated and the agency lost access to the only aid warehouse that it was still operating in central Gaza, the statement said.
The pause in aid deliveries comes at a perilous time for humanitarian efforts and the Palestinians in Gaza who depend on them. As Israel’s military offensive nears its 11th month, nearly half a million people in Gaza face starvation, experts have warned.
In April, an Israeli drone strike killed seven workers with the World Central Kitchen aid group. The organization resumed its work after a brief pause and said in June it had delivered more than 50 million meals in Gaza since the war began.
Israeli military officials have said the attack on the World Central Kitchen convoy was a “grave mistake” and cited a series of failures, including a breakdown in communication and violations of the military’s operating procedures.
Adding to the humanitarian concerns, a 10-month old child was diagnosed with polio this month, the first confirmed case of the disease in Gaza in a quarter-century. UNICEF, the U.N. children’s agency, is hoping to start a campaign to vaccinate children in Gaza as early as this weekend, and has asked Israel to pause military operations to allow it to take place.
Israel’s Hostage Rescue Highlights Challenge of Hamas Tunnels in Gaza
The Israeli military’s rescue of a hostage from an underground tunnel in the Gaza Strip on Tuesday highlighted one of the biggest remaining impediments to Prime Minister Benjamin Netanyahu’s goal of eradicating Hamas: the enclave’s vast and complicated subterranean network that shelters many of the militant group’s remaining leaders.
Israel’s military said on Tuesday that it had rescued Farhan al-Qadi, a member of Israel’s Bedouin Arab minority who was abducted on Oct. 7, from an underground Hamas tunnel in southern Gaza. According to two senior officials who spoke on the condition of anonymity because they were not authorized to talk to reporters, Israeli forces appear to have found Mr. al-Qadi by chance as they were combing through a tunnel network for Hamas fighters.
It was the second time in two weeks that Hamas’s network of tunnels featured prominently in Israel’s accounts of hostage recovery efforts, shining some light on a mostly unseen aspect of the war that looms large for the country’s military and government officials. Last week, Israeli troops said they had recovered the bodies of six hostages hidden behind concrete lining in an underground route connected to a 10-meter-deep tunnel shaft.
These underground discoveries after nearly 11 months of war show just how elaborate and extensive Hamas’s tunnel network has turned out to be, experts say. Some of the tunnels are hundreds of miles long, according to Israeli, Hamas and U.S. officials.
“The tunnels are massive,” said Dan Byman, a senior fellow with the Warfare, Irregular Threats, and Terrorism Program at the Center for Strategic and International Studies in Washington. The war in Gaza has revealed two surprises about the subterranean system that Hamas built, he added: There are more tunnels, and they are more serpentine, than previously believed.
The tunnels serve Hamas in multiple ways, Mr. Byman said. Not only can the group hide its leaders and hostages in them, but capturing the tunnels — where Israeli forces are much more vulnerable and have to move very slowly — is far harder than taking a building above ground.
“The advantage of Israel’s military is tremendous coordination and situational awareness, and in tunnels that’s much harder,” he said.
Trying to destroy the subterranean system from above is also problematic, Mr. Byman said, because it takes big bombs that cause a lot of damage and potentially risk the lives of hostages hidden in the tunnels. He posited that many of the remaining living hostages were being held underground, perhaps alongside Hamas leaders, given that “they are a very valuable asset” and “one of Hamas’s chief bargaining chips.”
The Israeli military has tried several tactics during the war to drive Hamas fighters aboveground, including flooding the tunnels and sealing them, said James Wirtz, a professor of national security affairs at the Naval Postgraduate School. They also regularly explode the tunnel entrances, and send dogs, drones and robots inside them to avoid risking the life of a soldier.
Middle East Crisis: Live Updates
- What is Palestinian Islamic Jihad?
- Israel has emphasized the move is not the first step to a cease-fire.
- Hostages’ relatives protest at the Gaza border, and other news.
“It’s horrible,” Mr. Wirtz said. “There are turns and side rooms and booby traps. It’s a hard thing to ask a soldier to do.”
The Israeli military has said it is making progress in eliminating Hamas’s underground infrastructure. On Aug. 15, the military said it had destroyed about 50 tunnels in a week, and it released video footage of soldiers blowing up burrows and building materials in an area along the border with Egypt that Israel calls the Philadelphi Corridor.
Making sure that those tunnels and others will not be rebuilt has been a critical issue in the cease-fire negotiations being mediated between Israel and Hamas. Mr. Netanyahu has said he wants some Israeli troops to continue to patrol the Philadelphi Corridor to prevent Hamas from rearming after the war or rebuilding tunnels to Egypt.
His stated goal is to eliminate Hamas, its leaders and its infrastructure, a mission that some in the Israeli military community have suggested is unrealistic. The Israeli military earlier this month said it had killed 17,000 militants in the war, but troops have repeatedly battled resurgences in areas of Gaza that it had previously declared cleared of Hamas fighters. And some of the militant group’s top leaders have survived.
In November, a freed Israeli hostage described how Yahya Sinwar, a Hamas leader who is now the group’s political chief, had addressed a large number of Israeli captives underground not long after the Oct. 7 attacks, saying that they were safe and that no harm would come to them. The United States and Israel were working hard at the time to find and capture Mr. Sinwar — and have been trying ever since.
In January, Israeli commandos raided an elaborate tunnel complex in southern Gaza based on intelligence that Mr. Sinwar was hiding there. But he had left the underground bunker days earlier and remains at large.
Inquiry Into ‘Killer Nurse’ Won’t Weigh Key Question: Is She Innocent?
A public inquiry into the case of Lucy Letby, a British neonatal nurse convicted of killing seven babies, has come under fire from scientific and medical experts who have called for it to be delayed or broadened to consider whether the deaths could have been caused by other factors.
The inquiry, set to begin on Sept. 10, will cast a fresh spotlight on one of the most haunting murder cases in recent British history. Conscientious and well liked by her colleagues, Ms. Letby was found guilty of killing seven infants, and trying to kill seven others, in a busy public hospital in 2015 and 2016.
Ms. Letby, 34, was sentenced to life in prison last year and her requests for appeals have so far been denied. But questions about the handling of the investigation and the evidence used to convict her have grown harder to ignore, with prominent experts in statistics and neonatal medicine arguing that both were gravely flawed.
Under the terms of its mandate, the inquiry will not scrutinize those questions. Instead it will hold hearings to probe the experiences of the families of the babies who died and the conduct of nurses, doctors, and other health workers at the Countess of Chester Hospital, southeast of Liverpool.
Led by Kate Thirlwall, an appeals court justice, the inquiry aims to determine “whether suspicions should have been raised earlier, whether Lucy Letby should have been suspended earlier, and whether the police or other external bodies should have been informed sooner about suspicions about her.”
The thornier question — whether Ms. Letby might have been wrongfully convicted — falls beyond the scope of the inquiry, which was announced in 2023 by the health secretary in the last Conservative government.
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The inquiry’s narrow scope prompted 24 experts, who emphasized that they had no connection to Ms. Letby or her family, to send a letter last month to the current health secretary, Wes Streeting, and the justice secretary, Shabana Mahmood.
In excerpts provided to The New York Times by a representative of the signatories, they wrote, “While we acknowledge the gravity of the convictions against Ms. Letby, our focus is on the broader implications for patient safety, health-care management and the potential for miscarriages of justice in complex medical cases.”
“Possible negligent deaths that were presumed to be murders could result in an incomplete investigation of the management response to the crisis,” they added, in a letter first reported by The Guardian. “Our goal is not to re-litigate the Letby case, but to ensure that the Thirlwall inquiry is positioned to conduct the most thorough and beneficial investigation possible for the future of neonatal care in the UK.”
Among the signatories are Peter Elston, a fellow of the Royal Statistical Society, and Gillian Tully, an expert in forensic science at Kings College London who served as the forensic science regulator for England and Wales. The signatories declined to release the full letter, saying it was intended to be private.
Medical experts have argued that other factors — including staff shortages, crowded conditions in the ward, poor equipment, or management problems — could have contributed to the abnormally high number of babies dying or becoming seriously ill in the unit where Ms. Letby worked. The National Health Service was under acute pressure during this period, after years of constrained budgets and understaffing.
Statisticians have criticized the investigation for concluding that because Ms. Letby was on duty during a cluster of these incidents, she must have been responsible for them.
The case hinged on her being held responsible for administering an overdose of insulin to two babies, but both survived, and several medical experts said the test results used to suggest insulin had been artificially administered were not reliable as evidence of a crime.
There were no witnesses to Ms. Letby killing or mistreating babies under her care, and she has denied murdering anyone. While her lawyers tried to discredit the prosecution’s evidence, they did not present their own evidence.
Phil Hammond, a retired doctor in the National Health Service who has written about the case as medical correspondent for Private Eye magazine, pointed out that the defense only appointed one expert and never called him. “Unsurprisingly, the evidence was very one-sided,” he said. The prosecution, he added, “were shooting at an open goal.”
Mr. Hammond has signed a separate open letter to Prime Minister Keir Starmer, which calls for a “full forensic review of the evidence used in the Letby case.” He said he was not sure whether Ms. Letby did what she was convicted of, but he does not believe she got a fair trial, a position held by a number of other people involved in the case. That could pose a challenge to an inquiry that was created on the basis that she was guilty.
Ms. Letby has been convicted twice: in August 2023, on seven counts of murder and six counts of attempted murder; and last July, on a single count of attempted murder, in a retrial after the jury did not reach a verdict on that charge in the first trial.
News coverage of the case included sensational details like her anguished handwritten notes. She wrote, “I killed them on purpose because I’m not good enough to care for them,” and in capital letters, “I AM EVIL I DID THIS.” Yet on the same piece of paper she had also scrawled: “I haven’t done anything wrong,” “I feel very alone + scared,” and “slander discrimination.”
Reporting on the case was cut off at critical junctures because of restrictions under English law on news that could prejudice a jury. Last September, the restrictions were reimposed after the public prosecutor for England and Wales announced it would seek to retry the attempted murder charge. They have since been lifted.
In May, The New Yorker published a highly critical 13,000-word investigation of the case. The magazine’s publisher, Condé Nast, blocked access to online readers in Britain, for fear of being held in contempt, which can be punished with a fine or prison sentence, although the magazine was available in print and on the magazine’s app. British papers, like The Guardian and The Times of London, have since run articles questioning the evidence, as have broadcasters.
For all the concerns being raised, however, some doubt the new Labour government will delay or expand the scope of the inquiry.
“There isn’t a political energy or head space to do it,” Mr. Hammond said. “It would be so embarrassing if the biggest baby-killer case in British history was found to be unsound.”
F-16 Fighter Jet, Recently Supplied to Ukraine, Crashes
A Ukrainian F-16, recently supplied by NATO countries, was destroyed this week while defending against a sweeping Russian aerial assault and the pilot was killed, Ukraine’s military said on Thursday.
The loss is a blow to the government in Kyiv, partly because only about half a dozen of the planes have been delivered and only a few pilots have been trained to fly them.
The timing of the crash was unfortunate as well, coming after a Ukrainian incursion into Russia’s Kursk region had lifted the national mood this month after a long spring and summer of Russian battlefield gains in eastern Ukraine.
Ukraine received its first batch of F-16s this summer after the country’s leaders argued to the White House and allies in Europe for many months that they were essential to the war effort. While the United States and other allies have provided Ukraine with tens of billions of dollars of military equipment, the fighter jets have taken on outsize importance as a symbol of Western support.
However, military experts have cautioned that the jets are unlikely to make an immediate difference on the battlefield, even though they are versatile and equipped with advanced radar systems and a variety of weapons. Their primary value, the experts said, will be their role in defending Ukraine in the coming years.
The plane was lost after Ukraine scrambled its air defenses while trying to intercept more than 200 missiles and drones fired by Russia on Monday, in what President Volodymyr Zelensky of Ukraine called one of the largest attacks of its kind since the war began 30 months ago.
The F-16s were involved in the effort and had “demonstrated their high efficiency,” shooting down four cruise missiles, Ukraine’s general staff said on Facebook on Thursday. But “communication was lost with one of the aircraft. It was later determined that the aircraft had crashed and the pilot was killed.”
The military said that it had opened an investigation into the crash, which was reported Thursday by The Wall Street Journal. A Western official said the Ukrainians were looking at pilot error or mechanical failure as the cause for the crash, rather than enemy fire. The military general staff did not disclose the identity of the pilot who was killed, but Ukraine’s Air Force said that it had lost a pilot named Oleksiy Mes on Monday during the assault on the country.
“Oleksiy saved Ukrainians from deadly Russian missiles. Unfortunately, at the cost of your own life,” the Air Force’s western command said in a Facebook post that addressed the pilot.
A news website in the city of Lutsk in northwestern Ukraine, Volyn News, reported that a large funeral was held in the city on Thursday for the pilot. It posted photographs of the event and said that Ukrainian Air Force jets performed a fly over in honor of the pilot. The website said his call sign was Moonfish. Ukrainian combat pilots, a select group, are considered heroes by many in Ukraine for the risks they have taken to fight the invasion, and Mr. Mes’ death will likely be widely mourned.
The arrival and deployment of the F-16s has been a subplot in the war. From the earliest days of the full-scale invasion in February 2022, Mr. Zelensky had called on NATO to supply his country with the most advanced and powerful conventional weapons, arguing that Ukraine was fighting for all of Europe as well as Western values.
Each time President Biden and other leaders acceded to Kyiv’s requests, Ukrainian leaders expressed gratitude while also making new demands. The fighter jets, which can be used to attack Russian forces but are also valuable for their ability to shoot down incoming missiles, became the most high-profile item on Ukraine’s list.
When they finally arrived, Mr. Zelensky posted a triumphant video on his social media page and was photographed sitting in one.
Ukrainian officials declined to say how many planes had been delivered in the initial batch, but European countries, which have promised 45 of the jets, were expected to deliver only six this summer.
Romania had set up a school to train Ukrainian pilots — an arduous process, given the planes’ complexity — but by March it was clear that only 12 pilots would be ready by the summer. The pilots also received training in Denmark, the United States and Britain.
Their arrival in early August to supplement the country’s fleet of Soviet-era aircraft had given a lift to national morale at a time of significant developments in the war.
For much of the year, Ukrainian forces have been on the defensive in the country’s east in the face of a Russian onslaught that has steadily, if slowly, made progress. Russian troops seized control of two cities in Donetsk region early in the year after months of fierce fighting, and in recent weeks they have put the city of Pokrovsk, an important transport hub for Ukraine’s military, under increasing pressure.
Anastasia Kuznietsova contributed reporting from Kyiv, Ukraine.
Here’s What We Know About the Oil Tanker Stuck in the Red Sea
A Greek oil tanker is stuck in the Red Sea after it was attacked by Houthi rebels, an Iran-backed militia group that controls swaths of northern Yemen and has disrupted crucial shipping lanes in a show of solidarity with Palestinians in Gaza.
The MV Delta Sounion has been immobilized for more than a week, making it a sitting duck for further attacks while also raising fears of an environmental disaster. The tanker was carrying the equivalent of one million barrels of crude oil.
The Sounion, its crew evacuated, currently sits in waters patrolled by Houthi vessels. The Houthis have said they will allow a rescue mission, but moving the ship will be precarious.
Here’s what we know about the stuck tanker.
How did the ship get stuck?
The MV Delta Sounion was sailing through the southern Red Sea when it came under attack from vessels controlled by Houthi fighters on Aug. 21, according to the European Union’s naval mission in the Red Sea, the Indian Ocean and the Gulf.
No crew members were killed or injured, but the ship lost engine power during the attack, the naval mission said on social media. The crew of 23 Filipino and two Russian sailors was evacuated to Djibouti, a country on the Horn of Africa.
During the rescue, the naval mission’s ship spotted an unmanned vessel nearby, and immediately destroyed it. In past attacks, Houthi rebels have used remote-controlled boats that have rushed at vessels, causing explosive collisions.
The Sounion, flying a Greek flag and managed by the Greek shipping company Delta Tankers, had been traveling from Iraq to Greece, according to a briefing from the Pentagon. Now, it poses a navigational hazard to other ships passing through the area, the Pentagon said.
In a statement on Thursday, Greece’s foreign minister, George Gerapetritis, said he had spoken to his counterpart in Saudi Arabia, which has a coast along the Red Sea, “to ensure the safest possible management of this issue.”
What is the environmental risk?
The ship’s cargo contains 150,000 tons of crude oil, or more than a million barrels. What’s worse, the stranded ship has been on fire since Aug. 23, posing an “imminent threat of regional pollution,” the European Union naval mission said.
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On Wednesday, aerial images of the Sounion showed several fires on the deck. While there is no apparent oil leak yet, the Pentagon raised concerns on Tuesday that the stranded vessel represented a “potential environmental catastrophe.” (The U.S. State Department has said the spill of a million barrels of oil would be four times the size of the 1989 Exxon Valdez disaster in Alaska.)
International naval forces and agencies are working together to determine how to move the nearly 900-foot-long tanker.
Why are the Houthis attacking ships?
The Houthis are a group of Shiite militants who have fought Yemen’s government for more than two decades. With the support of Iran, the group now controls large swathes of northern Yemen and it has become the de facto government in the Gulf country. The U.S. designated the group a terrorist organization in February.
In recent years, the group has been targeting vessels traveling in the Gulf of Aden and the Red Sea, a crucial gateway for global shipping through the Suez Canal. After Hamas’s Oct. 7 attack on Israel and the ensuing war in Gaza, the Houthis pledged their solidarity to the Palestinian people, stepping up attacks on ships and disrupting international shipping lanes.
On Wednesday, a Houthi spokesman, Mohammed Abdulsalam, told Iranian media that it would allow the retrieval of the Sounion, acquiescing to requests from several countries. Iran’s mission to the United Nations confirmed the decision, adding that the group had consented because of humanitarian and environmental concerns.
Still, Houthi leaders have vowed to continue their campaign to disrupt shipping lanes, according to the Site Intelligence Group, which tracks extremist organizations.
“These are simply reckless acts of terrorism which continue to destabilize global and regional commerce, put the lives of innocent civilian mariners at risk, and imperil the vibrant maritime ecosystem in the Red Sea and Gulf of Aden, the Houthis own backyard,” Maj. Gen. Pat Ryder, a Pentagon spokesman, said during a news briefing on Tuesday.
Ephrat Livni contributed reporting.
Top Biden Aide Holds Rare Talks With Chinese Military General
The White House national security adviser, Jake Sullivan, met on Thursday with China’s leader, Xi Jinping, and held rare talks with a top Chinese military official in a sign that the two countries are communicating at senior levels despite tensions over the South China Sea and Taiwan.
Mr. Sullivan’s meeting with Gen. Zhang Youxia, vice chairman of China’s Central Military Commission, was the first in years between a senior American official and a vice chair of the commission, which oversees China’s armed forces and is chaired by Mr. Xi. In 2018, Jim Mattis, who was the U.S. defense secretary at the time, met with Gen. Xu Qiliang, who held the vice chair position.
It was the latest effort by the two powers to keep communication channels open even as disputes grow over national security, trade and geopolitics. On the military front, the United States has argued that more open communication is necessary to prevent accidents between the two countries’ warplanes and navy ships as they regularly patrol contested areas like the Taiwan Strait and the South China Sea.
“A meeting with Zhang Youxia is very significant, and an indication that China is prepared to meaningfully re-engage with the Department of Defense,” said Drew Thompson, a visiting senior research fellow at the Lee Kuan Yew School of Public Policy at the National University of Singapore. “Beijing views the military-to-military relationship as an important political indicator of the overall relationship, which differs somewhat from the U.S. perspective, which sees it as a more pragmatic channel to reduce risk.”
Mr. Sullivan’s meeting with General Zhang, which was held at the headquarters of China’s People’s Liberation Army, came on the final day of his three-day visit to Beijing to bolster the Biden administration’s bid to manage competition with China.
China and the United States have been locked in a rivalry for global influence and have seen tensions rise over a raft of issues, including China’s territorial claims in the South China Sea, its tacit support for Russia’s war in Ukraine, and the flood of Chinese electric vehicles and solar panels onto global markets.
“We believe that competition with China does not have to lead to conflict and confrontation — the key is responsible management through diplomacy,” Mr. Sullivan said at a news conference after meeting with Mr. Xi.
Even as the visit was a chance for both nations to reassure the world that they were working to lower the risk of conflict between them, it was clear that they were still fundamentally divided on strategic issues. China has rejected Washington’s framing of the bilateral relationship as being defined by competition, a stance Mr. Xi highlighted at the top of an official summary of the meeting.
“First of all, we must answer the general question of whether China and the United States are rivals or partners,” Mr. Xi told Mr. Sullivan. China’s intentions were “above board,” he said, and his country was committed to “peaceful development.” He said he hoped that the United States would work with China to “find a correct way for the two major countries to get along.”
Mr. Sullivan told reporters that the Biden administration’s priorities in its final months included greater communication between their militaries and more cooperation to tackle the fentanyl crisis in the United States.
He also elaborated on discussions about a potential meeting between President Biden and Mr. Xi, noting that both leaders would likely attend the Asia-Pacific Economic Cooperation summit in Peru and the Group of 20 Leader’s Summit in Brazil, to be held in mid-November.
“It would only be natural for them to have the chance to sit down with one another,” Mr. Sullivan said.
He also spoke briefly about Vice President Kamala Harris, who is now the Democratic Party’s presidential candidate, and her perspective on China.
“She shares President Biden’s view that responsibly managing this competition, so it doesn’t veer into conflict or confrontation, is essential,” Mr. Sullivan told reporters, noting that Ms. Harris has met Mr. Xi and also China’s second-highest official, Premier Li Qiang.
Earlier in the day, General Zhang told Mr. Sullivan that the world expected the two countries to “maintain stability in the military and security fields,” according to a statement released by China’s defense ministry. He also reiterated China’s opposition to American support for Taiwan, the island democracy that Beijing claims.
“China demands that the United States stop military collusion between the United States and Taiwan, stop arming Taiwan, and stop spreading false narratives involving Taiwan,” the general said, according to the official statement.
Mr. Sullivan later said that having a chance to speak in person with General Zhang had made a difference.
“The meeting with Vice Chairman Zhang was very important — there is no substitute for actually being able to sit across the table not just with the vice chairman but with his whole team, to be able to hear from them their perspective on critical issues,” he said.
On Wednesday, Mr. Sullivan and China’s most senior diplomatic official, Wang Yi, said their countries’ top military commanders in the region would hold a video call at some point.
Mr. Thompson said such a call could help reinvigorate lower-level dialogue that used to take place more frequently in the past. Those meetings, he said, allowed military personnel to discuss aerial and maritime maneuvers in greater detail to prevent accidents.
Washington is also concerned about encounters between China and U.S. allies that could draw American forces into a confrontation. That includes the most recent standoff between the Philippines and China near a disputed atoll, Sabina Shoal, where Chinese coast guard vessels have rammed Philippine ships and targeted them with water cannons.
“The order of the day should be de-escalation” in the South China Sea, said Mr. Sullivan, who, during his talks in Beijing, raised America’s commitment to defend the Philippines as a treaty ally.
“Nobody is looking for a crisis — not the Philippines, not the United States and, we hope, not the P.R.C.,” he said, referring to the People’s Republic of China.
Such regional tensions have led to chilly relations between the Pentagon and the Chinese military over the past several years. China suspended military-to-military communications in 2022 after Nancy Pelosi, who was speaker of the House at the time, visited Taiwan. They were restored in December when President Biden’s senior military adviser, Gen. Charles Q. Brown, held a videoconference call with his Chinese counterpart, Gen. Liu Zhenli.